Combined surgical and endoscopic approach for the reduction of a congenital hiatal hernia in a cat: a case report

L. Pisoni, S. Del Magno, F. Cinti, M. Baron Toaldo, M. Joechler and M. Pietra
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L. Pisoni: School of Agriculture and Veterinary Medicine, University of Bologna, Bologna, Italy
S. Del Magno: School of Agriculture and Veterinary Medicine, University of Bologna, Bologna, Italy
F. Cinti: School of Agriculture and Veterinary Medicine, University of Bologna, Bologna, Italy
M. Baron Toaldo: School of Agriculture and Veterinary Medicine, University of Bologna, Bologna, Italy
M. Joechler: School of Agriculture and Veterinary Medicine, University of Bologna, Bologna, Italy
M. Pietra: School of Agriculture and Veterinary Medicine, University of Bologna, Bologna, Italy

Veterinární medicína, 2014, vol. 59, issue 3, 150-156

Abstract: A case of surgical resolution of type I or "sliding" hiatal hernia is reported. A seven-month-old kitten was presented because of abdominal discomfort, accelerated breathing after eating and chronic vomiting. The clinical examination was unremarkable. Thoracic radiographs and gastroscopy led to the diagnosis of type I hiatal hernia. The surgical resolution consisted of hiatal plication, oesophagopexy and left-flank incisional gastropexy. All procedures were carried out using a 6 mm videoendoscope positioned in the stomach to evaluate the right oesophago-gastric junction reduction. One week after surgery there was a recurrence of symptoms and a second laparotomy was performed. During the second surgery additional hiatal plication was necessary and an oesophagopexy was repeated after dissection of the phrenico-oesophageal ligament. Moreover, a new incisional gastropexy was carried out after resolution of the first one. The cat recovered without complications and at one-year follow-up did show no signs related to the hiatal hernia. This communication reports on possible additional surgical techniques in cases of type I hiatal hernia and contributes to an understanding of the importance of oesophagopexy in cases of hiatus malformation.

Keywords: cat; surgery; endoscopy; hiatal hernia (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:caa:jnlvet:v:59:y:2014:i:3:id:7385-vetmed

DOI: 10.17221/7385-VETMED

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